Comparison of the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia
Abstract Background To compare the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia (AACE). Methods A total of 46 patients with AACE were enrolled in this retrospective study. Among them, 26 patients underwent surgery following...
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doaj-58c2beff887546dabb2630aa992fad542020-11-25T03:38:38ZengBMCBMC Ophthalmology1471-24152020-07-012011610.1186/s12886-020-01574-yComparison of the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropiaPeng Zhang0Ying Zhang1Lei Gao2Jun Yang3Department of Ophthalmology, Jinan 2nd People’s HospitalDepartment of Ophthalmology, Jinan 2nd People’s HospitalDepartment of Ophthalmology, Jinan 2nd People’s HospitalDepartment of Ophthalmology, Jinan 2nd People’s HospitalAbstract Background To compare the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia (AACE). Methods A total of 46 patients with AACE were enrolled in this retrospective study. Among them, 26 patients underwent surgery following prism adaptation test (combination group) and 20 patients underwent surgery alone (surgery group). The following parameters were evaluated including success rate, distant and near deviation angles, visual function, and near stereoacuity. Results There were no significant differences in success rate between the combination group and surgery group at post-treatment 12 months (96.15% vs. 90.00%, p > 0.05). The postoperative distant and near deviation angles in two groups were significantly lower than that before surgery (p < 0.05). In addition, the numbers of patients with stereopsis postoperatively in two groups were significantly higher than that before surgery (all p < 0.05). Moreover, the numbers of patients with stereopsis and central stereopsis in the combination group were significantly higher than that in the surgery group postoperatively. At post-treatment 12 months, one (3.85%) case recurred in combination group and three (15.00%) cases in the surgery group. No complications were observed in the two groups. Conclusions Both approaches had therapeutic benefit in AACE. Surgery following prism adaptation test had better treatment benefits than surgery alone in improving binocular function and reducing recurrence rate.http://link.springer.com/article/10.1186/s12886-020-01574-yAcute acquired comitant esotropiaDeviation anglesPrism adaptation testVisual function |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Peng Zhang Ying Zhang Lei Gao Jun Yang |
spellingShingle |
Peng Zhang Ying Zhang Lei Gao Jun Yang Comparison of the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia BMC Ophthalmology Acute acquired comitant esotropia Deviation angles Prism adaptation test Visual function |
author_facet |
Peng Zhang Ying Zhang Lei Gao Jun Yang |
author_sort |
Peng Zhang |
title |
Comparison of the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia |
title_short |
Comparison of the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia |
title_full |
Comparison of the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia |
title_fullStr |
Comparison of the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia |
title_full_unstemmed |
Comparison of the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia |
title_sort |
comparison of the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia |
publisher |
BMC |
series |
BMC Ophthalmology |
issn |
1471-2415 |
publishDate |
2020-07-01 |
description |
Abstract Background To compare the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia (AACE). Methods A total of 46 patients with AACE were enrolled in this retrospective study. Among them, 26 patients underwent surgery following prism adaptation test (combination group) and 20 patients underwent surgery alone (surgery group). The following parameters were evaluated including success rate, distant and near deviation angles, visual function, and near stereoacuity. Results There were no significant differences in success rate between the combination group and surgery group at post-treatment 12 months (96.15% vs. 90.00%, p > 0.05). The postoperative distant and near deviation angles in two groups were significantly lower than that before surgery (p < 0.05). In addition, the numbers of patients with stereopsis postoperatively in two groups were significantly higher than that before surgery (all p < 0.05). Moreover, the numbers of patients with stereopsis and central stereopsis in the combination group were significantly higher than that in the surgery group postoperatively. At post-treatment 12 months, one (3.85%) case recurred in combination group and three (15.00%) cases in the surgery group. No complications were observed in the two groups. Conclusions Both approaches had therapeutic benefit in AACE. Surgery following prism adaptation test had better treatment benefits than surgery alone in improving binocular function and reducing recurrence rate. |
topic |
Acute acquired comitant esotropia Deviation angles Prism adaptation test Visual function |
url |
http://link.springer.com/article/10.1186/s12886-020-01574-y |
work_keys_str_mv |
AT pengzhang comparisonofthetherapeuticeffectsofsurgeryfollowingprismadaptationtestversussurgeryaloneinacuteacquiredcomitantesotropia AT yingzhang comparisonofthetherapeuticeffectsofsurgeryfollowingprismadaptationtestversussurgeryaloneinacuteacquiredcomitantesotropia AT leigao comparisonofthetherapeuticeffectsofsurgeryfollowingprismadaptationtestversussurgeryaloneinacuteacquiredcomitantesotropia AT junyang comparisonofthetherapeuticeffectsofsurgeryfollowingprismadaptationtestversussurgeryaloneinacuteacquiredcomitantesotropia |
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